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FAMILY NURSING-OB
CHAPTER 1,4,5-
| Question | Answer |
|---|---|
| CHAPTER 1 Maternity and Women’s Health Care Today | The main priority is bounding-baby feeding |
| Historical Perspectives on Childbearing | |
| What are the component of medical management emergence? | Significant discoveries skin-2-skin contact Role for woman in childbirth women deliver on various safe positions Hospital births Technologic advances Consumer demands PT IS WELL INFORMED |
| How is the government involved in FAMILY NURSING? | BY Federal funding I.E WIC, MEDICAID Inequitable distribution of health care BARRIER TO HEALTH CARE ACCESS LIMITED OB ACCESS TRANSPORTATION AND FINANCIAL ISSUE |
| WHAT is the effect of consumer demands? | Consumers involvement get the right education -from evidence based R New childbirth methods Benefits of extended parent–newborn contact HELP REGULATE SYSTEM FUNCTION TRANSITION BETTER-ACHIEVE MILESTONE.. BREASTMILK IS IMPORTANT |
| What is Family-centered maternity care? | Physical and psychosocial needs of the family Assist family members ensure they can rest, eat, drink, have blanket Fosters the family unit |
| Principles of family-centered care | Childbirth is usually a normal, healthy event. Childbirth affects the entire family. Include members-educate the whole FAMILY on taking care of babies Families making decisions about care Family and other support Watch other cultural practice |
| What is the function of Certified nurse-midwife (CNM) | -They can not deliver-MD has to be present -Cares for women at low risk for complications -refers women to a back-up physician if problems develop |
| What is the functions of Nurse practitioner (NP)? | Prenatal and newborn care Does not perform deliveries How does patient deliver? natural, c-section? homeopathy? |
| Physician | must be present on units Couples may visit several different care providers before choosing the one they feel is best for them. |
| The Traditional hospital setting INCLUDES: | Labor, delivery, recovery rooms (LDRs) push for for several hrs-must do C-SECTION Labor, delivery, recovery, postpartum rooms (6WKS) (LDRPs) |
| What are Birth centers for? | Freestanding |
| What is Home births? | In emergency, patient goes directly to delivery unit |
| What is insurance policy? | Insurance provider may limit choice of health care provider or setting out-of pocket: |
| What is Support person? | Father of baby Relative or friend Doula (trained labor support) |
| Siblings presence at DELIVERIES? | Presence of children at birth is controversial. Some children may attend all or part of labor and birth. IT could be traumatizing to CHILDREN |
| WHAT IS IMPORTANT BEFORE BIRTH? | Education Importance of perinatal education PARENT / FAMILY MUST KNOW WHAT TO EXPECT |
| HEALTHY 2020 INCLUDE: | Attain high quality, longer lives free of preventable disease Achieve health equity, eliminate disparities, and improve health of all groups |
| HEALTHY 2020 INCLUDE 1: | Create social and physical environments that promote good health for all Promote quality of life, healthy development, and healthy behaviors across all life stages |
| Safety and Quality INCLUDE -Perinatal Core Measures | • Decrease rate of elective deliveries • Decrease R.of cesarean births • Increase R.of antenatal administration of steroids in preterm labor • Decrease rate of newborns with septicemia or bacteremia • Increase the rate of exclusive breastfeeding |
| WHAT ARE Effects of cost containment on maternity care? | Length of stay: 48HR Maternal and infant problems after discharge Legislative mandates Reduced teaching time HAVE INFORMATION WRITTEN DOWN-FOLLOW UP WITH MOM AND BABY, B/C PROBLEMS CAN ARISE AFTERWARD |
| IN Community-based perinatal and women’s health nursing, NURSES: | Nurses must understand diverse communities Nurse must work in multidisciplinary teams to coordinate care |
| WHAT are Perinatal home care? | Antepartum home care Postpartum and neonatal home care Home care for high-risk neonates |
| What are Advances in technology? | THEY ARE Telemedicine VERIFY WHETHER PT USES OR NOT Electronic medical record (EMR) EASIER LINK TO YOUR OTHER UNITS-HOSPITALS FACILITATE CARE COORDINATION |
| WHAT ARE SOME CONCERN WITH "Complementary and alternative medicine" | Safety PMS, POSTPARTUM DISCOMFORTS , DO YOU Consistent with holistic nursing care |
| how does Shortage of nurses AFFECT CARE AND HOSPITALS? | Baby boomers retiring LOTS NURSING ARE RETIRING Staffing with increased patient loads MORE MONEY EASY ACCESS TO SPECIALTIES |
| WHAT ARE Maternal and infant mortality CAUSES? Pregnancy-related maternal mortality | LOTS OF BARRIER LESS ACCESS TO CARE EARLY DISCHARGE |
| Infant mortality ARE CAUSED BY: | Congenital malformations, premature birth, maternal complications of pregnancy Infant mortality across nations |
| Adolescent pregnancy STATISTICS TODAY: | Teen birthrates have decreased. Teen pregnancy rate higher in United States compared to other industrialized nations PREPARE PATIENT-GIVE RESOURCES FOR HOME CARE BE NON-JUDGMENTAL |
| THE 2 HEALTH PROBLEMS FACING PREGNANT Women ARE? | Cardiovascular disease HAVE THEM WORRY ABOUT THIS IT IS CRUCIAL Obesity |
| Standards of practice for perinatal and women’s health nursing INCLUDE: | Agency standards KNOW SCHEDULE PRACTICES, STANDARD PRACTICES Organizational standards Legal standards |
| Nurse roles are changing from the typical nursing jobs, WHERE DO NURSE WORK NOW? | Work in a variety of highly specialized areas Assume primary responsibility for independent functions Teach, counsel, and intervene for a wide variety of nonmedical problems |
| WHAT Interpersonal skills ARE USED ? | Communication Effective teaching Critical thinking |
| Therapeutic communication ARE: | Purposeful, goal directed, and focused Techniques • Clarifying • Reflecting-GET BETTER IDEA OF PT NEED • Maintaining silence • Questioning • Directing-VOICE TONE • Being aware of blocks to communication |
| Teaching and Learning INCLUDE: | Principles Readiness Active participation Repetition Positive feedback Role modeling Address conflict and frustration Simple to complex Use of variety of methods Small segments |
| WHAT ARE Factors that influence learning? | Developmental level Language Culture Previous experiences Physical environment Organization and skill of instructor |
| WHAT ARE Other Nursing Roles? | Collaborator Collaborates with other members of the health care team Coordinates and manages a woman’s or infant’s care Interdisciplinary approach Researcher Nursing care is based on evidence. Advocate Speaks FOR PATIENT MANAGER |
| Advanced Preparation for Maternal-Newborn and Women’s Health Nurses FOR Certified nurse-midwives (CNMs): LOW RISK PATIENT | RNs WITH clinical experience Provide complete care during pregnancy, childbirth, and the postP period Counsel and support the childbearing family Provide annual well-woman exams Approach to childbirth is noninterventionist and supportive. |
| Nurse practitioners ARE: | RNs with advanced preparation Women’s health nurse practitioners (WHNPs) provide wellness-focused, primary, reproductive, and gynecologic care over the life span, starting at adolescence. |
| Family nurse practitioners (FNPs) : | provide preventive, holistic care for young and old family members. |
| Neonatal nurse practitioners (NNPs) : | Assist in the care of high-risk newborns in the immediate post–birth care or in a neonatal intensive care unit (NICU). |
| Pediatric nurse practitioners (PNPs): | provide health maintenance care for infants and children not requiring the services of physicians. |
| HOW IMPORTANT IS Nursing Research? | Important for nurses to demonstrate that their work improves outcomes - cost-effective Nurses must generate, participate in, and use research. National Institute of Nursing Research (NINR) and National Institutes of Health (NIH) |
| WITH Evidence-Based Practice (EBP): | Nurses are striving to develop an independent body of knowledge-problem solving approach to care. Promotes high quality care and best patient outcomes Institute of Medicine (IOM) Standards for developing practice guidelines |
| WHAT ARE THE STEPS TO Helps NURSES make the best clinical judgments ? | THEY ARE ABCDEs Recognizing Assumptions Examining Biases Determining the need for Closure Becoming skillful in Data management Acknowledging Emotions and Environmental factors |
| CHAPTER 4 | |
| WHAT ARE MULTIFACTORIAL? | PG67 |
| WHAT ARE ENVIRONMENTAL FACTOR? | POSITIVE:NUTRITION NEGATIVE:TERATOGENS |
| CAUSATIVE AGENTS | PG70 ANTICONVULSANT-CAN CONTROL IN CRITICAL FETUS DEVELOPMENT PERIOD |
| LOW FLUID, FROM AMNIOTIC FLUID LEAD TO | CLUBFOOT FETAL LUNG DEVELOPMENT |
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Seka_nurse
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